Thursday, August 20, 2020

Robotic surgery system comes to Adirondack Health

Adirondack Health is one of the first health systems in the region to offer robotic-arm assisted total knee and total hip replacements with Stryker’s Mako System. This highly advanced robotic technology transforms the way joint replacement surgery is performed, enabling surgeons to have a more predictable surgical experience with increased accuracy.

The demand for joint replacements is expected to rise in the next decade. Total knee replacements in the United States are estimated to increase by 673 percent by 2030, while primary total hip replacements are estimated to increase by 174 percent. Yet studies have shown that approximately 30 percent of patients are dissatisfied after conventional surgery.

Last year, Adirondack Health was designated a comprehensive joint replacement center for excellence by a leading health accreditation program, a recognition of its joint replacement program’s dedication to ongoing quality improvements and strong patient outcomes. And now, the surgeons who lead the joint replacement program are excited to build on Adirondack Health’s joint replacement offerings.

“With Mako, we can provide each patient with a personalized surgical experience based on their specific diagnosis and anatomy,” said Dr. Bartlomiej Szczech, director of joint replacement surgery at Adirondack Health. “Using a virtual 3D model, Mako allows surgeons to create each patient’s surgical plan pre-operatively before entering the operating room. During surgery, we can validate that plan and make any necessary adjustments while guiding the robotic-arm to execute that plan. It’s exciting to be able to offer this transformative technology across the joint replacement service line to perform total knee and total hip replacements.”

“This is a huge step forward for us,” said orthopaedic surgeon Dr. William Smith. “When you have that 3-dimensional image to plan the surgery around, you can get a really good idea of where you want to align things and really make your reconstruction fit the patient.”

The Mako Total Knee application is a knee replacement treatment option designed to relieve the pain caused by joint degeneration due to osteoarthritis. Through CT-based 3D modeling of bone anatomy, surgeons can use the Mako System to create a personalized surgical plan and identify the implant size, orientation and alignment based on each patient’s unique anatomy. The Mako System also enables surgeons to virtually modify the surgical plan intra-operatively and assists the surgeon in executing bone resections.

The Mako Total Hip application is a treatment option for adults who suffer from degenerative joint disease of the hip. During surgery, the surgeon guides the robotic-arm during bone preparation to prepare the hip socket and position the implant according to the pre-determined surgical plan.  In cadaveric studies, Mako total hip replacement acetabular cup placement has been shown to be four times more accurate and reproducible than manual total hip replacement procedures.

To learn more about the Mako system and how Adirondack Health is using it, go to

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One Response

  1. Sharon Gershon says:

    Hello – I read with interest of your robotic joint replacement program. Do you know if this technology will become available at Walter Reed National Military Medical Center in Bethesda?

    I am a 69 yo female, retired from a 27 year career with the USPHS. Most of my career was spent working at the FDA. I had a revision hip replacement of my right hip done in June 2018 by a surgeon at WR. I’ve had 3 other hip replacements/revisions done by military medicine. I’ve been pretty happy with all of them. I might need a final left hip revision done in my 80’s. The plastic cup might need to be replaced. Technology has advanced since this surgery was done in 2010.

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